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General NPI Number Information
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NPI Number | 1821937277
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Entity Type | Organization
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Legal Business Name | 3 HORIZONS MENTAL HEALTH
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 1210 SLEATER KINNEY RD SE
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City | LACEY
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State | WA
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Zip | 98503-2316
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Country | US
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Telephone | 253-228-5757
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Fax | 360-252-6557
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Provider Business Mailing Address
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Address Line | 1210 SLEATER KINNEY RD SE
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City | LACEY
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State | WA
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Zip | 98503-2316
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Country | US
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Telephone |
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Fax | 360-252-6557
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Authorized Official
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Title or Position | MEMBER
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Name | DANIELA BONELLO
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Credential |
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Telephone | 253-228-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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